Sinsa Station Nose Plastic Surgery Clinic, Open vs. Closed Nose Surgery

Hello. This is Luho Plastic Surgery.

People who come to the Sinsa Station nose plastic surgery clinic

always leave the same question.

Doctor, which is better,

open or closed?

Many people wonder about the differences between

open and closed nose plastic surgery and

which method is right for them.

It may seem like the only difference is the incision site,

but in fact, the two procedures differ in their purpose,

location, and scope of application.

Rather than deciding that one is definitely better,

the appropriate method differs depending on

a person’s nasal structure and goals.

Open nose surgery

Open surgery involves making an incision in the columella skin

and proceeding while directly viewing the internal structures.

Because visibility is good,

a implant can be placed accurately,

and delicate correction and design are possible.

It is a method that allows structural access to the nasal tip cartilage,

the septal cartilage, and similar structures.

However, an incision scar occurs in the columella area,

and the recovery period is longer, which are disadvantages.

Situations worth considering for the open method

The open procedure at the Sinsa Station nose plastic surgery clinic is selected

when the internal nasal structure needs to be directly checked

and precise correction is required.

✔️ When refining the shape of the nasal tip in detail

• Nasal tip lengthening

• A blunt or low nasal tip, or twisting

• Weak nasal tip support (septum) or collapse

✔️ When addressing septal problems at the same time

• Deviated septum (crooked nose)

• When septal cartilage harvest is needed

• Structural problems accompanied by nasal obstruction

✔️ When correction of a short nose or upturned nose is needed

• If the nasal tip is short or the cartilage is turned upward,

cartilage reinforcement + nasal tip lengthening is needed

✔️ High-difficulty revision surgery

• Cartilage deformity caused by a previous surgery

• The nose gradually becoming shorter (contracted nose)

• Cartilage adhesion

✔️ When nasal asymmetry is severe

• Asymmetry must be examined directly to find the cause

in order to determine the correction points

This method is strong not only for aesthetic improvement

but also when structural problems need to be resolved,

cartilage repositioning is required, and similar cases.

Closed nose surgery

This is a method of approaching through the inside of the nose

without an external incision on the columella.

Because the incision range is smaller, recovery is faster,

and there is little concern about scarring, making it suitable for simple correction.

If there is no need to significantly alter the structure,

such as inserting a dorsal implant, making minor tip adjustments, or refining the nostrils,

a closed procedure may be appropriate.

However, because the inside is not visible,

there are limitations in situations where septal reconstruction is needed.

Conditions where the closed method is more effective

At the Sinsa Station nose plastic surgery clinic,

the closed method is characterized by a smaller incision range,

faster recovery, and less concern about scarring.

Therefore, it is well suited for

light correction and natural improvement when major changes are not needed.

✔️ When the correction range is small

• When the nasal tip shape is fine but only the bridge needs to be raised

• When only a dorsal implant is needed

• When the internal nasal structure has no deformity

✔️ When only minimal tip correction is needed

• A slightly drooping nasal tip

• Very subtle refinement-level correction

• Light correction without cartilage repositioning

Previous image Next image

The key is not which method is 'better'

but which one is 'right for the person'

Sinsa Station nose plastic surgery clinic

There is no superiority between

the two surgical methods.

The key is recommending the appropriate method based on

the patient’s nasal structure,

whether they have had previous surgery,

and the changes they want.

If you want a changed nose,

we recommend receiving an accurate diagnosis

through a detailed consultation.

​